Segun B Awosemo (NPI# 1619085321, PAC ID# 4880654680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1619085321 |
| PAC ID by PECOS | 4880654680 |
| Professional Enrollment ID | I20110928000327 |
| Full Name | Segun B Awosemo |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Address |
600 Interstate 20 Stanton TX 79782-0640 |
| Phone Number | 4327563345 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0446296818 |
| Number of Group Practice Members | 204 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451333 | MARTIN COUNTY HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 1601 W 11th Pl, Big Spring, TX 79720-4114 | 4322631211 | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| 600 Interstate 20, Stanton, TX 79782-0640 | 4327563345 | CONCORD MEDICAL GROUP PLLC |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Physicians | 212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Lamb | Emergency Medicine | Concord Medical Group Pllc | 110 Shult Dr, Columbus, TX 78934-3016 |
| Elizabeth Tu | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Ilona Nekhayeva | Family Medicine | Concord Medical Group Pllc | 705 E Felt St, Brownfield, TX 79316-3449 |
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Stephanie K Denison | Emergency Medicine | Concord Medical Group Pllc | 304 S Daugherty Ave, Eastland, TX 76448-2609 |
| Stephen George | Family Practice | Concord Medical Group Pllc | 400 Southwest 25th Ave, Mineral Wells, TX 76067-8246 |
| Danny L Farley Jr. | Family Medicine | Concord Medical Group Pllc | 125 Newman St, Fairfield, TX 75840-1419 |
| Derrick E Randdolf | Family Medicine | Concord Medical Group Pllc | 305 N Mckinney St, Sweeny, TX 77480-2801 |
| Michael L Gaines | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Dawn M Simons | Nurse Practitioner | Concord Medical Group Pllc | 311 Green Ave, Palacios, TX 77465-3213 |
| Street Address |
600 INTERSTATE 20 |
| City | STANTON |
| State | TX |
| Zip | 79782-0640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Tu | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Rolando Rodriguez | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith R Gist | Certified Registered Nurse Anesthetist (crna) | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Dora E Howard | Physician Assistant | Alvarado Alliance, LLC | 600e Interstate 20 D120, Stanton, TX 79782-0640 |
| Megan S Chandler | Nurse Practitioner | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Linda F Wiebe | Nurse Practitioner | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Calvin L Cargill | Family Medicine | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Melencio F Juan | Family Medicine | Martin County Hospital District | 600 E, Suite 20, Stanton, TX 79782-0640 |
| Brittany K Roberts | Physician Assistant | Pablo Cortez Teveni Md Pa | 600 E Ih, Stanton, TX 79782-1209 |
| City | STANTON |
| Zip Code | 79782 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STANTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Segun B Awosemo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.